A PRESUMPTIVE CASE OF TOXOCARIASIS ASSOCIATED WITH EOSINOPHILIC PLEURAL EFFUSION: CASE REPORT AND LITERATURE REVIEW

MAHI LAKSHMI ASHWATH Department of Internal Medicine, Section of Infectious Diseases, Mercer University School of Medicine, Macon, Georgia

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DONALD R. ROBINSON Department of Internal Medicine, Section of Infectious Diseases, Mercer University School of Medicine, Macon, Georgia

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HAROLD P. KATNER Department of Internal Medicine, Section of Infectious Diseases, Mercer University School of Medicine, Macon, Georgia

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Human toxocariasis is a helminthozoonosis caused by Toxocara sp. Larval migration of the organism through the tissues can result in eosinophila associated with a broad spectrum of clinical manifestations. We report a case of eosinophilic pleural effusion and CD8 cell deficiency associated with Toxocara sp. The symptoms of this patient responded promptly to a nonsteroidal anti-inflammatory medication (naproxen). This is only the fourth reported case of a pleural effusion associated with Toxocara.

Author Notes

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    Jeanfaivre T, Cimon B, Tolstuchow N, de Gentile L, Chabasse D, Tuchais E, 1996. Pleural effusion and toxocariasis. Thorax 51 :106–107.

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    Sakai K, Hirasawa Y, Hashimoto A, 2002. A case of toxocariasis with eosinophilic-rich pleural effusion. Nihon Kokyuki Gakkai Zasshi 40 :494–498.

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    Jacquier P, Gottstein B, Stingelin Y, Eckert J, 1991. Immunodiagnosis of toxocarosis in humans: evaluation of a new enzyme-linked immunosorbent assay kit. J Clin Microbiol 29 :1831–1835.

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